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A Chronic Obstructive Pulmonary Disease (COPD) Patient in Respiratory Failure

Question 62

Multiple Choice

A chronic obstructive pulmonary disease (COPD) patient in respiratory failure is receiving ventilatory support in the volume-targeted intermittent mandatory ventilation mode at a rate of 6/min. You measure an auto-PEEP level of 9 cm H2O. Which of the following would you recommend to decrease the effects of auto-PEEP in this patient?


A) Decreasing the rate and increasing VT.
B) Lowering the VT and letting the PaCO2 rise.
C) Applying 4 to 6 cm H2O PEEP.
D) Decreasing the peak inspiratory flow.

Correct Answer:

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